BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

%P.ge6.f7,j FIED PROGRAM CONSOLIDATED FORM fn I I dUNDERGROUND STORAGE TANKS - TANK PAGE 1 � l �TYPE OF ACTION I NEW SITE PERMIT ❑4 AMENDED PERMIT ❑ SCHANGE OF INFORMATION ❑ 6TEMPORARY SITE CLO ^ ❑ 7 PERMANENTLY CLOSED ON SITE Vrl Jl s/i ❑ 3 RENEWAL PERMIT ❑STANK REMOVED 430 BUSINESS NAME(S® a$FACaIWNAME«nen-Doing Bwh sAa) FACILITY ID: PR#: 1 LACHHAR CHEVRON* 3 FA0003714 PR0231665 LOCATION WITHIN SITE(opu« n 334 E MAIN ST,RIPON 431 PHONE L TANK DESCRIPTION(A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# Tank#: 8 43z TANK MANUFACTURER 433 COMPARTMENTALIZED TANK ❑ Yes ❑No 434 TA0505760 XERXES If-Ya-,camplete me page for c«h mmpemnrnt. DATE RJSTALLED(YEAR/MO) 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 037 8/1/1995 12:00:OOAM 12,000 ADDITIONAL DESCRIPTION(FmI un owy) 438 IL TANK CONTENTS TANK USE 439 PETROLEUM TYPE 940 ® I.MOTOR VEHICLE FUEL ❑ Ia.REGULAR UNLEADED ❑ 2.LEADED ❑ 5.JET FUEL dfmad.4 plow Pcao4mn Typc) ❑ I b.PREMIUM UNLEADED ❑ 3.DIESEL ❑ 6.AVIATION FUEL ❑2.NON-FUEL PETROLEUM ® Ic.MIDGRADE UNLEADED ❑ 4.GASOHOL ❑99.OTHER ❑3.CHEMICAL PRODUCT COMMON NAME Som Hvaa Mmenilaw CAS# Goin Hvudaua Maundslna e ( a'=Iran p.s<) a4I ( 'eomn'Pa6 ) a4x ❑4.HAZARDOUS WASTE 0«mm Uam oa> 8006-61-9 ❑95.UNKNOWN HL TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 3.SINGLE WALL WITH ❑ 5.SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Chink me imn md') EXTERIOR MEMBRANE LINER ❑ 95.UNKNOWN M 2.DOUBLE WALL ❑ 4.SINGLE WALL IN VAULT ❑ 99.OTHER TANK MATERIAL-primary tank ❑ 1.BARE STEEL ® FIBERGLASS/PLASTIC ❑5.CONCRETE ❑ 95.UNKNOWN 444 (Ch«Y=hemmly) ❑2.STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8.FRP COMPTIBLE W/I W16 METHANOL REINFORCED PLASTIC(FRP) ❑ 99.OTHER TANK MATERIAL-secondary tank ❑ 1,BARE STEEL ® 3.FIBERGLASS/PLASTIC ❑ 5.CONCRETE ❑ 95.UNKNOWN 445 (C1eck mm iwa Daly) ❑2.STAINLESS STEEL ❑ 4.STEEL CLAD W/FIBERGLASS ❑ I.FRP COMPTIBLE W1100'%METHANOL REINFORCED PLASTIC(FRP) ❑ 10.COATED STEEL ❑ 99.OTHER ❑ 5 CONCRETE TANK INTERIOR LINING ❑ I RUBBER LINED ❑ 3.EPDXY LINING ❑ 5.GLASS LINING ❑95.UNKNOWN Us DATE INSTALLED U7 OR COATING (Ch ..lino amy) ❑ 2 ALKYD LINING ❑4 PHENOLIC LINING ® 6 UNLINED ❑ 99.OTHER (F«kcJ use mdy) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ® 3 FIBERGLASS REINFORCED PLASTIC ❑ 95 UNKNOWN MR DATE INSTALLED 009 PROTECTION IF APPLICABLE PROTECTION (Ch«Eooelmn«dy) ❑4 IMPRESSED CURRENT E] 99 OTHER E] 25ACRDTCW.ANODE (F«tical uu only) SPILL AND OVERFILL YEAR INSTALLE450 TYPE(1«.1 mecwy) 451 OVERFILL PROTECTION EQUIPMENT:YEAR INSTALLED 452 (Chcckathhetwb) M I SPILL CONTAINMENT 1,995.00 ® IALARM ® 3 FILL TUBE SHUT OFF VAL` ® 2 DROP TUBE 1,998.00 OP W 61 SO 4 ❑ 2 BALL ❑ 4 EXEMPT ❑X 3 STRIKER PLATE FLOAT N.TANK LEAK DETECTION(Ad«.,uinnf6emwiw ,pmgnrn A.11 toe a.tmiund w 6e I« .gory) IF SINGLE WALL TANK(C kdl6m apply) 433 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ I VISUAL(EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING(MTO) (Ch ck.i..dy) ❑2 AUTOMATIC TANK GAUGING(ATG) ❑6 VADOSE ZONE ❑ I VISUAL(SINGLE WALL IN VAULT ONLY) ❑3 CONTINUOUS ATG ❑ 7 GROUNDWATER ®2 CONTINUOUS INTERSTITIAL MONITORING ❑4 STATISTICAL INVENTORY RECONCILMT70N ❑ 8 TANK TESTING ❑3 MANUAL MONITORING (SIR)BIENNIAL TANK TESTING ❑ 99 OTHER V.TANK CLOSURE INFORMATION/PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED(YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456 TANK FILLED WITH INERT MATERIAL? 457 ElYes [_] No UPCF(12/99 revised)